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Individual

APPLE WALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1056 E RAINES RD, MEMPHIS, TN 38116-6337
(901) 300-5777
(901) 422-6092
Mailing address
1056 E RAINES RD, MEMPHIS, TN 38116-6337
(901) 300-5777
(901) 422-6092

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904462
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009727025
MS
Enumeration date
03/02/2021
Last updated
10/22/2024
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